Download PDF
Int J Sports Med 2014; 35(12): 1044-1050
DOI: 10.1055/s-0034-1372638
Behavioural Sciences
© Georg Thieme Verlag KG Stuttgart · New York

The Association between Exercise Enjoyment and Physical Activity in Women with Fibromyalgia

M. Umeda
1   Health, Exercise, and Sport Sciences, Texas Tech University, Lubbock, United States
,
C. A. Marino
1   Health, Exercise, and Sport Sciences, Texas Tech University, Lubbock, United States
,
W. Lee
1   Health, Exercise, and Sport Sciences, Texas Tech University, Lubbock, United States
,
S. C. Hilliard
1   Health, Exercise, and Sport Sciences, Texas Tech University, Lubbock, United States
› Author Affiliations
Further Information

Publication History



accepted after revision 24 February 2014

Publication Date:
09 May 2014 (online)

Also available at
    Permissions and Reprints

Abstract

Evidence suggests the role of physical activity (PA) in management of clinical symptoms of fibromyalgia. However, very little is known regarding the psychological correlates of PA in patients with fibromyalgia. Therefore, this study examined the association between exercise enjoyment (EE) and PA in women with fibromyalgia. 19 women with fibromyalgia completed a laboratory session, where EE was assessed using a self-report questionnaire immediately after 20 min of light-intensity biking. Muscle pain ratings (MPR) in the legs were assessed during exercise, and changes in clinical pain intensity after exercise were computed. PA was assessed subjectively using a self-report questionnaire and objectively using an accelerometer for one week. Results from correlation analyses indicated that EE was associated with the self-reported amount of PA (rs=0.61, R2=0.37, p<0.01) and the minutes spent for moderate intensity PA (rs=0.48, R2=0.23, p<0.05). However, neither MPR nor changes in clinical pain intensity were associated with PA. These results suggest that EE may serve as a determinant of PA in women with fibromyalgia. Future research is needed to develop interventions to maximize EE to promote PA in this clinical population.

Key words

exercise responses - muscle pain - physical activity determinant - chronic pain
 

  • References

  • 1 Baecke JA, Burema J, Frijters JE. A short questionnaire for the measurement of habitual physical activity in epidemiological studies. Am J Clin Nutr 1982; 36: 936-942
    PubMedGoogle Scholar
  • 2 Bennett R. The Fibromyalgia Impact Questionnaire (FIQ): a review of its development, current version, operating characteristics and uses. Clin Exp Rheumatol 2005; 23: S154-S162
    PubMedGoogle Scholar
  • 3 Bopp M, Wilcox S, Laken M, Butler K, Carter RE, McClorin L, Yancey A. Factors associated with physical activity among African-American men and women. Am J Prev Med 2006; 30: 340-346
    CrossrefPubMedGoogle Scholar
  • 4 Borg G. (ed.) Borg’s perceived exertion and pain scales. Chapmpaign: Human Kinetics; 1998
  • 5 Brosseau L, Wells GA, Tugwell P, Egan M, Wilson KG, Dubouloz CJ, Casimiro L, Robinson VA, McGowan J, Busch A, Poitras S, Moldofsky H, Harth M, Finestone HM, Nielson W, Haines-Wangda A, Russell-Doreleyers M, Lambert K, Marshall AD, Veilleux L. Ottawa Panel evidence-based clinical practice guidelines for strengthening exercises in the management of fibromyalgia: part 2. Phys Ther 2008; 88: 873-886
    CrossrefPubMedGoogle Scholar
  • 6 Burckhardt CS, Clark SR, Bennett RM. The fibromyalgia impact questionnaire: development and validation. J Rheumatol 1991; 18: 728-733
    PubMedGoogle Scholar
  • 7 Busch AJ, Schachter CL, Overend TJ, Peloso PM, Barber KA. Exercise for fibromyalgia: a systematic review. J Rheumatol 2008; 35: 1130-1144
    PubMedGoogle Scholar
  • 8 Carson JW, Carson KM, Jones KD, Bennett RM, Wright CL, Mist SD. A pilot randomized controlled trial of the yoga of awareness program in the management of fibromyalgia. Pain 2010; 151: 530-539
    CrossrefPubMedGoogle Scholar
  • 9 Cook DB, O’Connor PJ, Eubanks SA, Smith JC, Lee M. Naturally occurring muscle pain during exercise: assessment and experimental evidence. Med Sci Sports Exerc 1997; 29: 999-1012
    CrossrefPubMedGoogle Scholar
  • 10 Culos-Reed SN, Brawley LR. Fibromyalgia, physical activity, and daily functioning: the importance of efficacy and health-related quality of life. Arthritis Care Res 2000; 13: 343-351
    CrossrefPubMedGoogle Scholar
  • 11 Culos-Reed SN, Brawley LR. Self-efficacy predicts physical activity in individuals with fibromyalgia. J Appl Biobehav Res 2003; 8: 27-41
    PubMedGoogle Scholar
  • 12 Ellingson LD, Shields MR, Stegner AJ, Cook DB. Physical activity, sustained sedentary behavior, and pain modulation in women with fibromyalgia. J Pain 2012; 13: 195-206
    CrossrefPubMedGoogle Scholar
  • 13 Freedson PS, Melanson E, Sirard J. Calibration of the computer science and applications, inc. accelerometer. Med Sci Sports Exerc 1998; 30: 777-781
    CrossrefPubMedGoogle Scholar
  • 14 Gracely RH. Augmented central pain processing in fibromyalgia patients. In: Graven-Nielsen T, Arendt-Nielsen L, Mense S. (eds.) Foundations of Musculoskeletal Pain. Seattle: International Association for the Study of Pain; 2008: 311-326
    Google Scholar
  • 15 Harriss DJ, Atkinson G. Ethical standards in sport and exercise science research: 2014 update. Int J Sports Med 2013; 34: 1025-1028
    Article in Thieme ConnectPubMedGoogle Scholar
  • 16 Jones J, Rutledge DN, Jones KD, Matallana L, Rooks DS. Self-assessed physical function levels of women with fibromyalgia: a national survey. Womens Health Issues 2008; 18: 406-412
    CrossrefPubMedGoogle Scholar
  • 17 Jones KD, Sherman CA, Mist SD, Carson JW, Bennett RM, Li F. A randomized controlled trial of 8-form tai chi improves symptoms and functional mobility in fibromyalgia patients. Clin Rheumatol 2012; 31: 1205-1214
    CrossrefPubMedGoogle Scholar
  • 18 Kendzierski D, DeCarlo KJ. Physical activity enjoyment scale: two validation studies. J Sport Exerc Psychol 1991; 13: 50-64
    PubMedGoogle Scholar
  • 19 Langhorst J, Klose P, Dobos GJ, Bernardy K, Häuser W. Efficacy and safety of meditative movement therapies in fibromyalgia syndrome: a systematic review and meta-analysis of randomized controlled trials. Rheumatol Int 2013; 33: 193-207
    CrossrefPubMedGoogle Scholar
  • 20 Leslie E, Owen N, Salmon J, Bauman A, Sallis JF, Lo SK. Insufficiently active Australian college students: perceived personal, social, and environmental influences. Prev Med 1999; 28: 20-27
    CrossrefPubMedGoogle Scholar
  • 21 McLoughlin MJ, Colbert LH, Stegner AJ, Cook DB. Are women with fibromyalgia less physically active than healthy women?. Med Sci Sports Exerc 2011; 43: 905-912
    PubMedGoogle Scholar
  • 22 McLoughlin MJ, Stegner AJ, Cook DB. The relationship between physical activity and brain responses to pain in fibromyalgia. J Pain 2011; 12: 640-651
    CrossrefPubMedGoogle Scholar
  • 23 Melzack R. The short-form McGill Pain Questionnaire. Pain 1987; 30: 191-197
    CrossrefPubMedGoogle Scholar
  • 24 Motl RW, Snook EM, McAuley E, Scott JA, Douglass ML. Correlates of physical activity among individuals with multiple sclerosis. Ann Behav Med 2006; 32: 154-161
    CrossrefPubMedGoogle Scholar
  • 25 Newcomb LW, Koltyn KF, Morgan WP, Cook DB. Influence of preferred versus prescribed exercise on pain in fibromyalgia. Med Sci Sports Exerc 2011; 43: 1106-1113
    CrossrefPubMedGoogle Scholar
  • 26 Oliver K, Cronan T. Predictors of exercise behaviors among fibromyalgia patients. Prev Med 2002; 35: 383-389
    CrossrefPubMedGoogle Scholar
  • 27 Oliver K, Cronan TA. Correlates of physical activity among women with fibromyalgia syndrome. Ann Behav Med 2005; 29: 44-53
    CrossrefPubMedGoogle Scholar
  • 28 Panton LB, Kingsley JD, Toole T, Cress ME, Abboud G, Sirithienthad P, Mathis R, McMillan V. A comparison of physical functional performance and strength in women with fibromyalgia, age- and weight-matched controls, and older women who are healthy. Phys Ther 2006; 86: 1479-1488
    CrossrefPubMedGoogle Scholar
  • 29 Segura-Jimenez V, Carbonell-Baeza A, Aparicio VA, Samos B, Femia P, Ruiz JR, Delgado-Fernandez M. A warm water pool-based exercise program decreases immediate pain in female fibromyalgia patients: uncontrolled clinical trial. Int J Sports Med 2013; 34: 600-605
    Article in Thieme ConnectPubMedGoogle Scholar
  • 30 Segura-Jimenez V, Romero-Zurita A, Carbonell-Baeza A, Aparicio VA, Ruiz JR, Delgado-Fernandez M. Effectiveness of tai-chi for decreasing acute pain in fibromyalgia patients. Int J Sports Med 2013; DOI: 10.1055/s-0033-1353214.
    PubMedGoogle Scholar
  • 31 Shaulov N, Lufi D. Music and light during indoor cycling. Percept Mot Skills 2009; 108: 597-607
    CrossrefPubMedGoogle Scholar
  • 32 Troiano RP, Berrigan D, Dodd KW, Masse LC, Tilert T, McDowell M. Physical activity in the United States measured by accelerometer. Med Sci Sports Exerc 2008; 40: 181-188
    Google Scholar
  • 33 Trost SG, Owen N, Bauman AE, Sallis JF, Brown W. Correlates of adults’ participation in physical activity: review and update. Med Sci Sports Exerc 2002; 34: 1996-2001
    CrossrefPubMedGoogle Scholar
  • 34 White KP, Speechley M, Harth M, Ostbye T. The London Fibromyalgia Epidemiology Study: comparing the demographic and clinical characteristics in 100 random community cases of fibromyalgia versus controls. J Rheumatol 1999; 26: 1577-1585
    PubMedGoogle Scholar
  • 35 Williams DA, Clauw DJ. Understanding fibromyalgia: lessons from the broader pain research community. J Pain 2009; 10: 777-791
    PubMedGoogle Scholar
  • 36 Wininger SR, Pargman D. Assessment of factors associated with exercise enjoyment. J Music Ther 2003; 40: 57-73
    CrossrefPubMedGoogle Scholar
  • 37 Wolfe F, Ross K, Anderson J, Russell IJ, Hebert L. The prevalence and characteristics of fibromyalgia in the general population. Arthritis Rheumatol 1995; 38: 19-28
    CrossrefPubMedGoogle Scholar
  • 38 Wolfe F, Smythe HA, Yunus MB, Bennett RM, Bombardier C, Goldenberg DL, Tugwell P, Campbell SM, Abeles M, Clark P, Fam AG, Farber SJ, Fiechtner JJ, Franklin CM, Gatter RA, Hamaty D, Lessard J, Lichtbroun AS, Masi AT, McCain GA, Reynolds WJ, Romano TJ, Russell IJ, Sheon RP. The American College of Rheumatology 1990 Criteria for the Classification of Fibromyalgia. Report of the Multicenter Criteria Committee. Arthritis Rheumatol 1990; 33: 160-172
    CrossrefPubMedGoogle Scholar